Background: Necrotizing fasciitis, a severe bacterial infection, poses significant health challenges with varied outcomes across different demographic groups. This study examines the gender and racial disparities in the incidence of complications, length of hospital stay, and healthcare costs associated with necrotizing fasciitis, focusing on key outcomes such as mortality, hemodialysis, hospital length of stay, and [...]

Case Presentation: A 55-year-old male with history of bilateral degenerative hip joint disease presented for worsening serosanguinous drainage from his wounds one week after bilateral hip replacement. He further developed diaphoresis and chills and received cephalexin at an outside hospital from where he was later discharged. He did not have improvement from antibiotics and his [...]

Case Presentation: A 71 year old female with past medical history of DM2, HTN, and CKD presented with weakness and body aches, progressing to inability to ambulate. Home medications included insulin, valsartan, and rosuvastatin. She was found to have a creatinine of 7.99 mg/dL from a baseline of 2 mg/dL. She was also found to [...]

Case Presentation: A 71-year-old female patient with a medical history of coronary artery disease (CAD), hypertension (HTN), and mixed hyperlipidemia presented to our medical facility, reporting chest pain. She underwent a left heart catheterization, revealing significant stenosis in the proximal right coronary artery (RCA), which was successfully treated with percutaneous transluminal coronary angioplasty (PTCA) and [...]

Case Presentation: A 34 year old female presented to the emergency department with several days of rapidly progressive skin and tongue lesions. Over the preceding months, she was evaluated by outpatient otolaryngology for recurrent otalgia and sinusitis, receiving antibiotics and prednisone without improvement. She underwent electromyography with neurology and was diagnosed with peripheral neuropathy of [...]

Case Presentation: The patient is a 54-year-old male with alcohol use disorder, HIV on antiretroviral therapy, and no history of diabetes, who presented with a 2-day history of painful swelling of the left upper and lower eyelids. After the first 48 hours, the patient developed purulent eye discharge and could no longer open his left [...]

Case Presentation: Twenty-two-year-old female with history of asthma presented to Emergency Department with recurrent fevers (101-103F) and tachycardia since June 13, 2023. Patient saw her PCP on 6/10, for fever, tachycardia and abdominal pain and started on Cefdinir for possible sinusitis which she started taking yesterday. Patient had associated non-specific diffused abdominal pain, back pain, [...]

Case Presentation: A 19-year-old male with past medical history of well-controlled juvenile myoclonic epilepsy was transferred from a community hospital for management of acute necrotizing pancreatitis. Upon arrival, he was severely hypovolemic and hypotensive, prompting aggressive intravenous fluid resuscitation and initiation of vasopressor therapy. He became obtunded, and was intubated for airway protection. Broad-spectrum antibiotics [...]

Case Presentation: A 44-year-old man with no significant medical history was referred from our ophthalmology clinic with clinical concern for optic neuritis. One week earlier, he noted acute onset of left eye discomfort and blurred vision which evolved to central vision loss and brightness desaturation, accompanied by new headaches. Initial exam and lab work were [...]